Organization Active NPI

Travis Shaw MD PC

  • Surgery Physician
  • Richmond, VA
National Provider Identifier
1073904835
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101245920 Issued in VA
Legal business name
TRAVIS SHAW MD PC
Practice address
8730 Stony Point Pkwy
Suite 120
Richmond, VA 23235-1970
Phone
(804) 775-4559
Fax
(804) 212-2476
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Travis Shaw, M.D.
Title
President
Phone
(804) 775-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0101245920 VA Primary

Addresses

Primary practice location

8730 Stony Point Pkwy
Suite 120
Richmond, VA 23235-1970

Mailing address

8730 Stony Point Pkwy
Suite 120
Richmond, VA 23235-1970
Phone (804) 775-4559

Other identifiers 1

IdentifierTypeStateIssuer
1629279047OtherVANPI TYPE 1

National Provider Directory

National Provider Directory

Locations

8730 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 327-1166

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1073904835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 STONY POINT PKWY",
            "address_2": "SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351970",
            "telephone_number": "804-775-4559",
            "fax_number": "804-212-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 STONY POINT PKWY",
            "address_2": "SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351970",
            "telephone_number": "804-775-4559",
            "fax_number": "804-212-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS SHAW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-775-4559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101245920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1629279047",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.